HomeMy WebLinkAbout13651-zFORM NO. 4
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18469
Date OCTOBER 16, 1989
THIS CERTIFIES that the building
Location of Property 265 INLET LANE
House No. Street
County Tax Map No. 1000 Section 43 Block 4
Subdivision Filed Map No.
ADDITION
GREENPORT~ N.Y.
Hamlet
Lot 36
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 11~ 1984 pursuant to which
Building Permit No. 13651-Z dated DECEMBER 27, 1984
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is GREENHOUSE ADDITION TO UNHEATED STRUCTURE
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HF~_LTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
JOHN & ISABELLE BIDDULPH
N-082094 - JULY 21~ 1989
N/A
//]~-~il~ing Inspector
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PEP. MIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
13651 Z
Permission is hereby gronted to:
~:~suant to opplicatlon dated ~,,'~. ........... I,~, ........................ , 19.~....~, and approved by the
Building Inspector.
Rev. 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
$outhold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted m~ to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topographic features.
2.Final approval of Health Dept. of water supply end sewerage disposal-(S-9 form or equal).
3.Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5.Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or
topographic features.
2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees: Additions $25.00
1. Certificate of occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3, Copy of certificate of occupancy $ 5.00, over 5 years $10.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date Ap.r.il 2.4,. 2987
New C o n s t r u c t i o n ...... Old or Pre-existing Building .... x. Vacant Land
265 Inlet Lane Greenport, N,Y.
Location of Property ...................................................................
House No, Street Ham/et
John Biddulph
Owner or Owners of Property ............................................................
43 4 36
County Tax Map No. 1000 Section ............... Block ............... Lot ................
· Subdivision ................................. Filed Map No ........... Lot No ..............
I2/27/8 · . .................................
PermitNo..1.3..6.5.].Z... Date of Permit ..... : .... ,~ppbcant Allstate Greenhouse
NA
Health Dept. Approval ....... .~.A ............... Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval .. ~.k. .................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ ..... .2.5 ...0.0. ..................
Construction on above described building ar/~ permit meets all applicable codes and re~lulations.
^pp,,cant 't: ............. .... ................
Rev. 10-10-78
THE NEW YORK BOARD OF FIRE UNDERWRITERS
'[ ~':)~ [ '[ ~';' BUREAU OF ELECTRICITY
~ B5 JOHN STREET, NEW YORK, NEW YORK 10038
Date ~70~[~Y ~ ~ J~ ApplicationNo. onfile ~/~') ~ 0~,~07~
THIS CERTIFIES THAT
o~y the electrical equipment ~ ~scribed be~w and interlaced by t~ appllca~t ~med on the a~ve applicatio~ number ~n the premises of
in the followlng location; ~ Basement ~ Ist Fl. ~ 2nd Ft. Section BIm~k Lot
,~ , A ) · and found to be in compliqnce u, ith the requirements ~f th s Board
DRYERS FUTURE APPLIANCE FEEDERS TIME CLOCKS
MULTI.OUTLET
SYSTEMS
NO. OF FEET
DIMMERS
SERVIC~ DISCONNECT S E R V I C
OTHER APPARATUS:
NO OF CC, COND A. WG NO OF HI*LEG A W.G, NO O~ NEUTRAl A.W.G.
PER ~ OF CC, COND. OF Hf-tEG OF NEUTRAL
This certificate must not be altered in any manner; return to the office of the Board if, inc, prrect. Inspecfprs
COPY ~OR BUILDING DEPARTMENT. THIS
GENERAL MANAGER
Per
may be identified by their credentials.
IN ANY MANNER.
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
January 25, 1989
RE: BUILDING PERMIT #13651Z Greenhouse
Dear Mrs. Biddulph:
In regard to your application for a Certificate of
Occupancy, we need an Underwriters Certificate.
We have your application and check and you have
passed the inspection.
Please send us your Underwriters so that we can
process your Certificate of Occupancy.
Thank you.
Yours truly,
Secretary
FIEL~ INSPECTION COMMENTS
FOUNDATION (1st)
FOUNDATION (2nd)
2.
ROUGH FRAME &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY
G?DE
ADI COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
ROUGH PLBG.
INSULATION
~r~FINAL
REMARKS:
DATE
]65-1802
BUILDING DEPT.
INSPECTION
FOUNDATION ZST [ ] ROUGH PLBG.
FOUNDATION ZND [ ] ~SULATION
/
FRAMING [~/] FINAL
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
This i~ to advise you that the job under building
permit no. 13651Z issued to John Biddulph
on 12/27J84 for Addition is completed and
a final inspection has ( ) has not ( X ) been done.
In order to complete this file, it is necessary that
a Certificate of Occupancy be issued, Please fill out the
enclosed form, return same to the above office with a check
for $25.00 payable to the Town of Southold. Please indicate
to Whom the Certificate of Occupancy is to be mailed, and
arrange with this office for an inspection date
Occupancy or use is unlawful without a Certificate of
Occupancy. Please help us to clear up this matter so that
legal action does not have to be taken.
Thank.you for your prompt attention.
Very trul
Victor Lessard
Executive Administrator
VL:gar
encl.
- ' 'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~,.OUTHOLD, N.Y. 11971
Exami .... ,1 .~..?
....
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
BLP.2~, DEPT.
TOWN OF SOUTHOLD
Received ........... ~ 1 9, . .
INSTRUCTIONS
a. Tins application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections·
. f . .
(Signature of applicant, or name, if a corporati6n)
· (Mailing address~of applicant)
State whether applicant is owner, lessee, agent, amhitect, engineer, general contractor, electrician, plumber or builder.
rT, .TO'ff' ........................................................................
Name of owner of premises . ~./.D. ~.~.,~. ~../~/.
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name an~itle of corporate officer)
Builder's License No ..... .~..~.. ~. ..............
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on w~/'?'. ~ ~7-..~. ,~/Ye?.....~..~..~.:~.--.~./->...d, . .,~....
which proposed work .- ~7~. .~,~.~,~. ~;~: · ,~,~,~ ~
House Number Street Hamlet
County Tax Map No. 1000 Section ..... · .~..-~. ........Block ....~. ............. Lot .... .~...4 ...........
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing u se and occupancy S / Z>~'/7 (g .~..
b. Intended use and occupancy ........ ~ .,~:./2~ ~-~ ....................................................
Pli · .
3. Nature of work (check which ap cable): New Building ..... ' .....Addition ..... Alteration ....
Repair RemoVal , Demolition ........ Other Work ...........
~,'""'"'"~ )'~7.0~~'' ' ""' '"'"" ".~..~.~" ' '(Descriptio)" '
4. Estimated Cost ...... ~ .............................. Fee .........................
' '~ (to be paid on filing this application)
er o" ~lli g u
5. If dwelling, numb f'dw n nits ............... Number of dwelling un s on each floor .........
If'garage number of cars ,
6. If' business, commercial or mixed' occupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing structureO, if any: Front ....... .~..tp. ....Rear ...... .~¢...o. ....Depth ...............
Height ............... Number of Stories ...... ./ .................................................
Dimensions of same structure w~th alterations or additions: Front ....... .-~...'¢ ....... Rear ...'.~: ¢. ...........
Depth .................... [. Height ...................... Number of Stories ......................
· ' ' ' ' ./.~ '// .¢ / pth
D~mens~ons of entire new construction: Front Rear De
Height ............... Number of Stories ...............................................
Size of lot: Front /,-~-,~.~. I~ ~'~ Depth
10. Date of Purchase ........... i .................. Name of Former Owner .............................
11. Zone or use district in which premises are situated .....................................................
12. Does proposed constrnction violite any zoning law, ordinance or regulation: ..... ~. . 0 .......................
13. Will lot be regraded ......... : .......... z¢. ....... Will excess fill be removed from nremises: Yes No
14. Name of Owner of premises
Name of Architect .
......... . ................ Address ................... Phone No .......... ' ......
Name of Contractor · ~('zq-r4.~.~. Address .~.~? ~.~. e{/.~¢ .o/.~. FY'~ Phone No. ¢7.f.-¢.. - .¢~.~¢. o...
PLOT DIAGRAM
Locate clearly and distinctly all i'bufldings, whether existing or proposed, and, indicate all set~back dimensions from
property lines. Give street and block Oumber or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK, S.S
COUNTY OF .................
(Name of individual signl ag contract)
above named·
He is the
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is dul9 authorized to perform or have performed the said work and to make and file this
application; that all statements contdined in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this 1
//
............. · · ......... day o
...,f . // .,, ,I
Notary Public,....~.. ~.,....~..~. ?..d~. ..... County
I~lOf~RY PUI~A k;, State of ~Jew /ork'
being duly sworn, deposes and says that he is the applicant